Photos of the birth can be found here. I can’t quite figure out how to link my flickr account to this blog with the fancy little "most recent photos" icon, so I figured I’d just post the link. The pictures are also not in the correct order due to a minor snafu with the date-time function on the camera. Basically, if the baby is in the picture, those were most likely taken after he was born.
I have intentionally neglected to include many specific times in this story so as not to put my lovely and talented midwives in any danger from the guv-ment. Stupid guv-ment.
This story is ridiculously long. I apologize in advance for my shameless glee in talking about myself and this experience.
The Birth of Baby A
(We didn’t know the sex of the baby, so we just called it Baby ‘A’ because both the male and female names we had picked started with an ‘A’)
When I first got pregnant, I considered having a home birth, but decided it wasn’t for me. I found a doctor who was highly recommended among birth circles and very supportive of natural birth, and decided that I would do a hospital birth.
As I began reading lots and lots of information during my pregnancy, I repeatedly returned to the homebirth option, but told myself that things would be fine in the hospital. However, around 28 weeks, I started to have serious misgivings and a nagging voice in the back of my head. I worried that my doctor would not be on call. I worried that my baby would be taken away. And then my sister in law had an HBAC. And then Ani Difranco announced her plans for a homebirth, and I realized that I didn’t want to be one of those people who is like, “well, it’s cool, but not for me”. Why not for me? I realized that having a homebirth is not just a birth choice, but a political statement. I mentioned it to my husband, and he was totally supportive. So then I started looking for a midwife, and let my doctor know. She promptly terminated care. Turns out, when I was 36 weeks along, that doc retired!
My first midwife appointment (after the interview) was at home when I was 32 weeks along by the doctor’s estimate. The midwife thought I was closer to 34 weeks. We went with the earlier date, knowing we could change it if necessary and not wanting to be in a position of being too “early” to do a homebirth that was actually full term. I was totally blown away with the difference in care with a midwife and how gentle she was when she palpated my belly and talked to the baby.
The day before Valentine’s Day, I had an appointment with the midwife, and I was 60% effaced, 1 to 2 cm dilated and baby was REALLY low. I was concerned about the baby’s position, because baby had been in the same position for several weeks and had suddenly moved to a new position a week prior, and it was really hard for all of us to figure out what was going on. We did, however, know the head was still down, which was a relief.
Later that day, I had some bloody show. I’d had what I thought was bloody show the week prior, but it had been more blood than mucus, and was right after sex. The stuff I had on this day was textbook mucus plug—pink tinted snot. I was excited.
My husband hadn’t gotten much sleep the night prior, and when he got home, I told him I felt really “weird” and that he needed to get to bed early because I thought the baby was coming soon. He asked why, and all I could say was that I felt “weird, really weird”.
That night, I had to get up to pee a lot, and there was a little mucusy stuff each time, but no longer pink. He got up to go to work at 4 a.m., and my back really hurt. I thought it was just my hips hurting. I also felt like getting up and doing stuff, so we both laughed and figured it was the nesting urge, and that it meant I should really try to rest. So I had some yogurt and went back to sleep.
At 8 a.m., I woke to the POP! of my water breaking. I got up out of bed, shaky, and called my husband. He was supposed to be done with work at 10, and so I said to just come home when he was done. Then I called my midwife. She said she’d be over in an hour or two just to check things out. Then I called my friend Sam to tell him that I’d give him a call when things picked up. He was going to help us with the birth, because even though he’s a dude, we’re very close and both of his kids were born at home.
I decided to get a shower, and by the time I got out, my surges had started. I noticed quickly that they seemed to be really close together, and got out the stopwatch. As I was emptying and loading the dishwasher, I realized they were about 1 minute long and 1 minute apart. So, I called my midwife again. She asked if they were strong, and I said it was getting harder to ignore them but that I was still loading the dishwasher. She said I needed to get my husband to come home sooner than later.
I called his work again, and he had already left. I called him and asked him to pick up a few things on the way home, and told him I needed some breakfast. He said he’d make me pancakes when he got home.
By the time he got home, the surges were pretty strong, but I was still up and about, tidying the house. I started some music. It was “Hum Drum” by Left Hand Right Hand. He set to work making me pancakes. By the time one of them was done, I ate a few bites and really didn’t want the rest, and I began to feel nauseated. I now had to focus entirely on the surges. He suggested working on my “birth board”, a piece of cardboard that I’d wanted to decorate in early labor as a focal point. I said, “I really don’t think that’s going to happen.” At this point, I had to stop what I was doing to focus on each contraction. I did yoga poses against the wall for a few surges and used my birth ball for a few more. The yoga poses I used were shower pose and a modified downward dog pose. I commented to Hyrum that the time when a surge let up was so nice. The whole contrast effect was amazing. I totally loved that short time when one had let up and I had a minute before another began.
The apprentice midwife, C, arrived. She assessed things, and then stepped outside to call the primary midwife, M, and told her to take her time but head on over. When she came back inside, she took one look at me, and went back outside to call her again to tell her to come straight over. In the few minutes that had passed, I had gone from handling surges well to being completely overtaken by them. The birth ball was next to a little typewriting table, and I had started grabbing the table during the surges. They were coming so fast, there was hardly any time to catch my breath.
I went to lie on the bed to try side lying for a few surges. That was not so very comfortable, and I was starting to feel kind of pushy but not really. At one point, I cried out that I couldn’t do it, and even as I said it, I knew I was in transition and that my comment was a textbook response, but I couldn’t stop myself from saying it out loud. Hyrum (my husband) said that he was really glad that one of the midwives was there for that, because in that moment, even though he knew it was a textbook transition comment, I looked so scared that it freaked him out. C reminded me that it was just one surge at a time. I said, “I know, but they’re coming right next to each other.” She said yes, but that I needed to relax between them and let each one go. All of a sudden, they eased up, and I was indeed pushy. She did a VE, and said she couldn’t find the cervix, so to go ahead and listen to my body. The next little window of time was nice, because I’d feel mildly pushy, and then there were a few minutes between each surge to rest. I pushed my arms against the wall above my head when I had the urge to push. This short period of time was such a welcome reprieve from the intensity of the surges I’d been having only minutes prior.
M showed up soon after that, while I was still lying on the bed. She did a VE and said she didn’t feel cervix either, so to trust my body. She asked if I wanted them to fill the birth pool, and I said no, I didn’t think it would be worth it or that there would be time. I decided to go push on the toilet for awhile. I would have used a birth stool, but because she’d rushed over from her office, she hadn’t had a chance to go to her house to pick it up. Around this time, “Kondole Part 2” by Psychic TV was playing. M said she liked my birth music. I liked it too. I pushed on the toilet for awhile, and it was a good place for me to push. My husband and I found a groove so that when it came time to push, he was in front of me, and I grabbed his hands and pushed against them. A few days after the birth, neither one of us could figure out why our arms were so sore until we remembered this position. Basically, we were both working our pecs by pushing against each other. I had been pushing there for awhile, and M said that when I felt the baby crown, I should come forward off of the toilet, and C would come behind me and we could put a chux pad on the floor. They had also warmed the room by this point and it was really hot, so they kept putting icy washcloths on my neck. She brought in some candles for the bathroom. We all thought the baby would come soon. We were wrong.
After awhile, there hadn’t been much progress, and so she did a VE again, and realized there was a little cervical lip left. She did the exam on the toilet, and then helped push the lip back while I pushed. It hurt like hell. I think that I had pushed for about an hour before we realized the lip was stuck. Maybe more. She also then had me “push where her fingers were” to get a better push going. That hurt like hell too. Some music came on that wasn’t doing it for me, so I asked M to put on Sigur Ros “Agaetis Byrjun”.
Then she suggested hands and knees on the bed. I had a big stack of pillows in front of me to rest on between surges. I was actually pushing more like in a squat. And Hyrum applied counterpressure during surges. It was nice to rest in between, but not really all that comfortable. The midwives fanned me between surges, but stopped when I was actually having one—I guess to not distract me. At one point Hyrum let me know he would need to use the bathroom after the next surge, and while he was gone C applied counterpressure. It was the only time he left me the whole time I was in labor. The midwives also kept offering me Gatorade between every few surges, and it tasted surprisingly fantastic. I guess my body really needed it. They also checked the fetal heart rate every 15 minutes with a little hand held Doppler machine.
I went back to the toilet for awhile—can’t remember if I wanted to or if M suggested it. She brought in pillows for behind my head so I could lean back. The toilet was nice for pushing, but really uncomfortable in between surges. And at one point, she brushed my hair from my face, and told me that I looked “so pretty”. It was very kind, and I probably did look pretty. It was not what you expect to hear during labor. You expect powerful, or something, but pretty was a unique thing to hear. My eyes still well up when I think about it. She also had me try a lunge on the toilet so that one foot was on the toilet and the other on the floor. It was a really interesting position, but difficult to keep my balance even leaning on Hyrum. It was a nice change though.
She suggested that we walk a little, so we walked out to the living room. When a surge would come, I’d rush back to the toilet for a few, and then she’d suggest I walk again. Hyrum would encourage me just to make it to the front door or to the back door. Little goals were helpful. Each time I did that, I would have a really strong surge afterwards. During this time, I asked Hyrum to re-start the Sigur Ros CD that had just played. Turns out, it was still playing, but I was so out in labor land that I didn’t even recognize it. I thought something else was on. M restarted it anyway.
Shortly after that, I tried side lying, which ended up with me on my back in more of a Bradley Method pose. M was near my feet and encouraged me to push against her if I needed to. Hyrum was at my right on the bed, and C at my left. They had me curl my head up with C helping me. M said she was going to help me out, and she did some stuff inside of me that really hurt. She told me later she was trying to make space and do finger forceps and such. At one point I screamed, “no, no, no, M stop!” She looked almost like I had struck her. It has to be hard to cause pain when you know you’re helping. She looked so empathetic. It was at this point that the real pushes began, and I began vocalizing–screaming, really, through them. They said, “now that’s how you get a baby out.” They told me to push through the pain. They would tell me to stay with it and push as long as I had “it”—the urge. It was hard to give over to that. Sometimes I would whine that I was trying, and they would tell me that they knew and that I was doing great. They told me I was doing great several times, but I didn’t always believe it. I felt like I would be making more progress if they were right. Looking back, I realize that I was doing great, to be working so hard during such slow progress.
I guess that during that time M was doing “finger forceps” and a lot of other stuff to try to help the head along. I just remember her using a lot of lube and being, as she said later, “all up in your business”. She told me later that she couldn’t even feel around the head and realized it was really big. When I was sort of passed out between surges, she mouthed to Hyrum “your head” and pointed at him and then her head. He has a big head.
At one point, I said that it hurt in my lower pelvis. M thought it might be my bladder, and offered to catheterize me. I was really scared of a catheter and said maybe I could pee. She said she really didn’t think so because the head was far enough in the canal to make it really difficult. I asked if it would hurt. She said not compared to everything else. They had a little trouble, because my urethra was in a weird place or something, but finally got it in. I didn’t really feel it, and then they were pulling it out and it was over and I’d already peed and didn’t know it. It did help. It was only a little pee, but the pain went away.
Hyrum says he remembers me raising my arms to the sky when I was pushing during this time and that it was a very powerful image. They also brought out a mirror at some point, and I could see the head inside of me and I said “I can do this, I can do this”. At some point, Chris and Cosey, “Allotropy” started playing. I was only vaguely aware of the music once or twice. By now, I was so deep in labor land I didn’t even realize there was music most of the time.
At several points through the pushing nightmare, I said, “baby, please come out.” Or I would ask why the baby wouldn’t come out. And the midwives were always calm and said the baby just wanted to take its time or something like that. I just continued to plead with the baby to please come soon and kept telling it that we wanted to meet it.
I don’t know if it was at this point or when I was on hands and knees at the end that M said she felt like I was backing away from the power rather than staying with it. She was right, but the feeling was so scary. She said I had to stay with it and so I worked harder to do so. But it was overwhelming.
After I was on the bed, I went back to the toilet for awhile, and we walked a few times. I was glad I did the intermittent toilet pushing because I didn’t get the purging diarrhea that comes with early labor, so I was pooping plenty on the toilet.
After this toilet trip, they suggested I go back to hands and knees. So I did. And I do think that’s when she told me not to back away from the pushing. And she also suggested that I make lower vocalizations so that I didn’t waste energy on the noise. So I did. It helped. I was sort of in a squat position a lot of the time when I was pushing and sort of pushing against Hyrum even though he was on the right side of me. Leaning forward to rest didn’t work, so I rested on him. There was very little time between surges during this time. They told me I just need to push with all my might and get the baby out in the next few pushes. I could reach inside and feel the head right there. Also, the baby’s heartbeat was occasionally slower, and so they kept reminding me to take deep breaths for the baby.
When the ring of fire started, I thought maybe I should pant, but they said to push as hard as I could. So this was different than a lot of other people’s birth experiences because we just needed to get this baby out. I was scared of tearing, but had to say fuck it. And I remember M saying that when the baby came out, she would pass it through to me. It took forever for the head to crown, and then the face was sort of stuck in the ring of fire. And I remember thinking, shouldn’t it all just come out? And I would try to push between surges, but had no power. I was starting to get worried. It burned constantly between the surges and I thought I couldn’t take it. Hyrum had said a few different times during the birth that I would find out the sex soon, as a way to sort of inspire me. I didn’t care. At the end, the only thing motivating me was making the pain stop. I realized that Coil, “The Snow” was playing while the head was crowning. It’s a very upbeat, driven CD, and it was really appropriate because it gave me a little extra energy. The baby ended up being born to this CD. I even wrote the artist to tell him so.
Apparently, C saw that I had pushed the head out, and it was stuck at the chin. Which means the baby was stuck and is a sign of shoulder dystocia. All of a sudden, M was behind me and I felt like there were 20 hands inside of me and she said that I needed to just keep pushing and pushing. And I knew something was wrong because the tone of her voice had completely changed. She was still calm but very serious. I don’t know where I found the strength to push and push with no urge, but I did. I felt like there were so many hands inside of me and hands inside of my anus. I thought for sure that both midwives had their hands inside of me, but it was really just M’s. There were also no hands in my anus, but it felt like it. Part of that might have been because I’d read about shoulder dystocia and that sometimes it’s necessary to try to hook the baby’s shoulder by going in through the anus. When I asked her about it later, she said she hadn’t done that, but had thought about it. Apparently, she had hooked one shoulder, but couldn’t find the other, and later on told me that she thought his arm might have been caught behind him, which would also explain his slow descent. After not being able to hook his shoulders, she suddenly said “I need you to get on this side (left) right now”. I was prepared for her to try other tugging and maneuvers once I did. So I began to move to that side, and as I moved, I swung my right leg really wide, and before my hip hit the bed, the baby was flying out. I had dislodged it. It turns out that the baby had been stuck with the head out for 3 minutes after they realized it was stuck at the chin, which is not a terribly long time, but long enough to be getting really concerned. It seemed like so much less time, especially since I was pushing with all of my might the whole time. She told me later she had thought she was going to have to break its arm to get it out. “Better a broken arm than a broken brain.”
It took 20 seconds for him to start breathing, but seemed like so much longer to me. I just kept saying “come on baby” and C said, “don’t worry, baby is fine”. I was bleeding a lot and they told me to tell myself to stop bleeding. That didn’t work fast enough, so they gave me a shot of pitocin. I’m glad they did. The reason C had tried to reassure me that the baby was okay was because they have noticed that when a mom freaks about the baby, she bleeds worse, and you can end up with two emergencies on your hands. I think that’s a really interesting effect. When the mom is worried about the baby, she loses the ability to will herself to be okay.
Once the baby let out a cry, Hyrum greeted the baby by saying, “Hi Albert”, because he had seen the genitals on the way out. For weeks I hadn’t been able to think of the baby as a girl and my intuition had been correct.
They did give him a few puffs of oxygen initially because he was quite blue. It took awhile after his torso pinked up for the blue to leave his hands and feet. His apgars were 7 and 8.
He was born at 3:24 p.m. I had pushed for several hours. If I’d been in the hospital, they’d have cut me open for sure.
M recommended a Vitamin K shot because Albert’s head was so very bruised from all the pushing. I consented.
There was blood and meconium and fluid EVERYWHERE. The bed, the floor, the walls, all over M. Everywhere.
Hyrum and C dead lifted me to a position where I was laying on the bed with my head at the head. Once the cord stopped pulsing, Hyrum cut it with C’s assistance. But I had no energy left. And I couldn’t push the placenta out. Even with gentle tugging on the cord. After awhile M said, more or less, get the damn thing out. I don’t want to transfer you for THIS. So I went to the toilet and pushed and tugged and got it out in no time with help from gravity. By myself. We made placenta prints out of it.
I got away with a tear near my urethra and a weird burst near my perineum that might have been a varicose vein. Nothing worse than 1st degree. M had considered an episiotomy and was glad she didn’t do one. Thank God for perineum massage and the constant massage M kept doing throughout. We were all shocked that I didn’t tear much worse than I did.
Afterwards, I thanked M for getting my baby out safely and said I knew she could do it. She said my faith in her is probably the only reason she got him out. She also said I really was a great birth mom because I listened to her and changed positions and cooperated. I felt really good about that.
I have no pictures from the moment Albert was born because Hyrum was helping me and the midwives were busy assisting. This is a good reason to have a doula or support person, and I had a support person—but never called him back. That was because things picked up so quickly that I just didn’t have a chance and thought things would be finished much sooner than they were. It makes me kind of sad that he didn’t get to be here, but things never really go the way you planned. But I still had exactly the birth that was meant for me. He was the first person I called once the baby was born.
I commented that I guess we could have filled the tub after all. But M pointed out that with all of the position changing I had done, it wouldn’t have done much good. I was also kind of bummed that labor took off so quickly that I didn’t get to work on any of my labor projects. But as C pointed out, if I’d had a long early labor, I still would have had a long pushing phase too. And probably would have been too tired at the end.
After I finally got the placenta out, I really wanted to get cleaned up. I was sitting in a chair in the bathroom, and nursed Albie for the first time. Hyrum took my pulse, and it was about 150 beats per minute. The midwives thought for sure he must have miscounted. So they took it again. And it was indeed 150 beats per minute. So, I was forbidden from standing in the shower. M got a washcloth and cleaned me up at the sink while I sat in my chair. No doctor would ever do that for you. She also went to the kitchen and grabbed me some yogurt and Hickory Farms sausage, cheese and cracker stuff. I was so hungry but it was kind of hard to eat. I was told to stay in bed as much as possible, and once I was lying back down, my pulse chilled out to a reasonable range.
Afterwards, the midwives had another birth they had to go to, and so I lent M some clothes since hers were covered in “me”. Hyrum went out to our favorite Thai restaurant and brought home some coconut soup and some pork toast appetizers.
During a follow-up visit, M said that even though I thought they’d done a lot of work, that I’d really done the work. And I was a great laboring mom because I’d been willing to try new positions. She said a lot of moms would have given up and said, "that’s it, take me to the hospital." Honestly, that possibility never even occurred to me.
People say to me that I was brave, and that they would never birth at home because “what if something goes wrong?” Well, something did go wrong. Thank god I had a midwife. Thank god I was mobile and able to change positions and able to push with all of my might. A little dude that’s stuck is a big frigging deal. I would much rather a midwife use her hands and not damage the baby’s head than use forceps. In a hospital, the best tool is often still having the woman change positions—not easily done while numb from the waist down and hooked to machines. So, all I can say is thank god I was home and not drugged.
It sounds so cliché, but birthing at home was the most empowering thing I’ve ever done. And the weird thing is that I’ve been "politically active" for some time now and have given speeches and organized actions and generally been a part of that whole scene. In retrospect, I realize that birthing my baby at home assisted by midwives was the most political thing I’ve ever done. And there were only three people there to witness it.